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Covenant Physician Partners is hiring for a Fulltime Prior Authorization Specialist to join our team at De La Pena Eye Group located in Commerce, California. The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and their office staff by obtaining facility authorizations for patient(s) scheduled.
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For patients who do not receive insurance coverage, the prior authorization specialist refers accounts to the financial counselor and/or identifies the patients who need to receive a Medicare Advance beneficiary Notice of Noncoverage (ABN.
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If you are qualified and interested in the Prior Authorization Specialist role, please apply today! Gather additional clinical and or coding information, as necessary, in order to obtain prior authorization.
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Responsibilities for this Prior Authorization Specialist will include insurance processing for healthcare, prior authorization and insurance investigation and appeals. Great Pay $17 / Hour Incredible Prior Authorization Specialist position available in growing organization.
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The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across entities, including BWH OR procedures, BWFH OR procedures, FXB OR procedures and BWH/BWFH Endoscopy Suite procedures in accordance with standards established by the Department, Hospital, Medical Staff, and outside regulatory and accreditation agencies.
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The Prior Authorization Specialist is responsible for the timely submission of all documentation, forms, or electronic requests in a timely fashion to not impede our community's access to care.
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Serves as a resource for staff and physicians regarding prior authorization and pre-certification policies and procedures. The Prior Authorization/Pre-Certification Coordinator is responsible for performing prior authorizations, pre-certifications for surgeries, pre-collecting funds as appropriate, and other office procedures as necessary.
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Prior Authorization Specialist I & II. Prior Authorization Specialist I. Coordinate with or assume the function of Prior Authorization, Provider Inquiry, and Claims Resolution units to ensure provider/claims resolution.
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Utilization review, prior authorization, Care management, Case management, interqual, ncqa, ncqa standards. Utilization review,prior authorization,Care management. - One to three (1-3) years recent care management prior authorization experience - Graduate of an accredited school of nursing (Bachelors of Science in Nursing and/or Master's level degree preferred) - Experience working with health plan auditors preferred.
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Cary Medical Center has an exciting opportunity for a Prior Authorization Specialist to join our team. Prior authorization or Pre-certification preferred. Request, follow up and secure pre-authorization prior to services being performed.
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Medication Prior Authorization Specialist, Medication Management Access Center page is loaded. Medication Prior Authorization Specialist, Medication Management Access Center.
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Check eligibility and benefits on all DME and home health authorizations prior to forwarding on request to prior authorization nurse or medical director for approval. Check eligibility and benefits on all items requiring a benefit check such as DME and home health authorizations prior to forwarding on request to prior authorization nurse or medical director for approval.
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Overview Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana Farber Cancer Institute and various health plans.
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Sentara Martha Jefferson Hospital is hiring an Authorization Coordinator - Full Time Day schedule. 1 Year of Health Insurance Authorization, health insurance verification, registration/billing., Health Insurance Authorizations, Health Insurance Verification, Registration/Billing.
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The Pre-Authorization Specialist plays a crucial role in obtaining timely pre-authorization from insurance companies for medical services, reducing financial strain on patients. Experience: Minimum of 2 years of experience in healthcare administration, medical billing, or insurance verification, with specific experience in pre-authorization processes preferred.
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Title: prior authorization Company: Conifer Value
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